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Issue

Vol 132 No 1492: 29 March 2019

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Issue Summary

SUMMARY

Upholding Te Tiriti, ending institutional racism and Crown inaction on health equity

Heather Came, Tim McCreanor, Leanne Manson, Kerri Nuku

Achieving health equity is a priority. Upholding te Tiriti o Waitangi should eliminate institutional racism against Mori and contribute to health equity. Given the Waitangi Tribunal is investigating health-related breaches of te Tiriti o Waitangi, we argue institutional racism needs to be acknowledged and addressed within the health sector. Historically the Crown response can be characterised by denial and inaction. The Crown has the power and resources to take action through mechanisms such as those they are currently applying to child poverty and gender pay inequity. Anti-racism literature recommends planned, systems-based approaches to eradicate the problem. We need the government to uphold our Tiriti responsibilities and we require a plan to end racism in the New Zealand health system.

SUMMARY

The perspectives of Samoan patients and health professionals about access to renal services in New Zealand

Ryder Afele Fuimaono, Faafetai Sopoaga, Sarah Derrett, Rob Walker

Chronic kidney disease (CKD) continues to be a health problem worldwide. Mori and Pacific peoples have a high risk of getting CKD. This research explores the journey Samoan patients take into accessing renal services in New Zealand. This study found that the ideal pathway described by health professionals were not always followed by the Samoan patients. Reasons that contributed to this complex pathway was lack of awareness and knowledge of CKD, the use of Fofo Samoa and herbal remedies, miscommunications between health professionals and/or a cultural misunderstanding between health professionals and patients.

SUMMARY

Prime Minister for a day: children's views on junk food marketing and what to do about it

Louise N Signal, Gabrielle LS Jenkin, Michelle B Barr, Moira Smith, Tim J Chambers, Janet Hoek, Cliona Ni Mhurchu

If Kiwi kids had Jacinda s job for a day, many would ban junk food marketing. Children are calling on the Prime Minister to ban junk food marketing because it makes them feel hungry and want the food, despite knowing that it is bad for them. Junk food should not be marketed because then children could get like diabetes and stuff like that, said one child. A range of 33 12-year-old children from the landmark Kids Cam Study were interviewed about their views on junk food marketing to children. Their advice is consistent with policy agreed to by the world s health ministers at a recent World Health Assembly.

SUMMARY

High level of capture of coronary intervention and associated acute coronary syndromes in the all New Zealand acute coronary syndrome quality improvement cardiac registry and excellent agreement with national administrative datasets (ANZACS-QI 25)

Andrew J Kerr, Mildred Lee, Yannan Jiang, Corina Grey, Sue Wells, Michael Williams, Rod Jackson, Katrina Poppe, on behalf of the ANZACS-QI investigators

The All New Zealand Acute Coronary Syndrome Quality Improvement (ANZACS-QI) registry was designed to collect data on all patients undergoing heart procedures coronary angiograms and per-cutaneous coronary interventions (PCI) in New Zealand, and all patients who had these procedures because they had a heart attack or episode of unstable angina (acute coronary syndromes). This study anonymously compares data recorded in the registry with that collected by the Ministry of Health (MOH) as a means of checking the accuracy of both datasets. Consistent with its aim, the ANZACS-QI registry captured almost all New Zealand public hospital coronary procedures in 2015, including those associated with heart attack and unstable angina admissions. The overall high level of agreement between the two datasets supports their use for future analyses, and specifically support the use of the MOH datasets for reporting of quality of care measures in heart attack and unstable angina patients not recorded in the ANZACS-QI registry.

SUMMARY

Pyogenic liver abscess: incidence, causality, management and clinical outcomes in a New Zealand cohort

Jan Kubovy, Shwan Karim, Steven Ding

We present a contemporary experience with liver abscess at our centre. In particular, we reviewed data regarding demographics, predisposing conditions, treatments, outcomes and probable causes.

SUMMARY

The contribution of avoidable mortality to the life expectancy gap in Māori and Pacific populations in New Zealand—a decomposition analysis

Michael Walsh, Corina Grey

Achieving health equity is a priority. Upholding te Tiriti o Waitangi should eliminate institutional racism against Mori and contribute to health equity. Given the Waitangi Tribunal is investigating health-related breaches of te Tiriti o Waitangi, we argue institutional racism needs to be acknowledged and addressed within the health sector. Historically the Crown response can be characterised by denial and inaction. The Crown has the power and resources to take action through mechanisms such as those they are currently applying to child poverty and gender pay inequity. Anti-racism literature recommends planned, systems-based approaches to eradicate the problem. We need the government to uphold our Tiriti responsibilities and we require a plan to end racism in the New Zealand health system.

ALL ARTICLES
SUMMARY

Bilateral clicking tinnitus due to myoclonus of middle ear muscles

Jeremy Hornibrook, Allan Keast

This is not us

Kate Baddock

Upholding Te Tiriti, ending institutional racism and Crown inaction on health equity

Heather Came, Tim McCreanor, Leanne Manson, Kerri Nuku

The perspectives of Samoan patients and health professionals about access to renal services in New Zealand

Ryder Afele Fuimaono, Faafetai Sopoaga, Sarah Derrett, Rob Walker

Prime Minister for a day: children's views on junk food marketing and what to do about it

Louise N Signal, Gabrielle LS Jenkin, Michelle B Barr, Moira Smith, Tim J Chambers, Janet Hoek, Cliona Ni Mhurchu

High level of capture of coronary intervention and associated acute coronary syndromes in the all New Zealand acute coronary syndrome quality improvement cardiac registry and excellent agreement with national administrative datasets (ANZACS-QI 25)

Andrew J Kerr, Mildred Lee, Yannan Jiang, Corina Grey, Sue Wells, Michael Williams, Rod Jackson, Katrina Poppe, on behalf of the ANZACS-QI investigators

The Physical Fear of Death

An evaluation of the effects of lowering blood alcohol concentration limits for drivers on the rates of road traffic accidents and alcohol consumption

Pyogenic liver abscess: incidence, causality, management and clinical outcomes in a New Zealand cohort

Jan Kubovy, Shwan Karim, Steven Ding

The contribution of avoidable mortality to the life expectancy gap in Māori and Pacific populations in New Zealand—a decomposition analysis

Michael Walsh, Corina Grey

Call for action on equity from three angles

Jade AU Tamatea, Nina Scott, Hemi Curtis

Adoption of international privacy standards in New Zealand health information research

Vithya Yogarajan, Rajan Ragupathy

SUMMARY

Upholding Te Tiriti, ending institutional racism and Crown inaction on health equity

Heather Came, Tim McCreanor, Leanne Manson, Kerri Nuku

Achieving health equity is a priority. Upholding te Tiriti o Waitangi should eliminate institutional racism against Mori and contribute to health equity. Given the Waitangi Tribunal is investigating health-related breaches of te Tiriti o Waitangi, we argue institutional racism needs to be acknowledged and addressed within the health sector. Historically the Crown response can be characterised by denial and inaction. The Crown has the power and resources to take action through mechanisms such as those they are currently applying to child poverty and gender pay inequity. Anti-racism literature recommends planned, systems-based approaches to eradicate the problem. We need the government to uphold our Tiriti responsibilities and we require a plan to end racism in the New Zealand health system.

SUMMARY

The perspectives of Samoan patients and health professionals about access to renal services in New Zealand

Ryder Afele Fuimaono, Faafetai Sopoaga, Sarah Derrett, Rob Walker

Chronic kidney disease (CKD) continues to be a health problem worldwide. Mori and Pacific peoples have a high risk of getting CKD. This research explores the journey Samoan patients take into accessing renal services in New Zealand. This study found that the ideal pathway described by health professionals were not always followed by the Samoan patients. Reasons that contributed to this complex pathway was lack of awareness and knowledge of CKD, the use of Fofo Samoa and herbal remedies, miscommunications between health professionals and/or a cultural misunderstanding between health professionals and patients.

SUMMARY

Prime Minister for a day: children's views on junk food marketing and what to do about it

Louise N Signal, Gabrielle LS Jenkin, Michelle B Barr, Moira Smith, Tim J Chambers, Janet Hoek, Cliona Ni Mhurchu

If Kiwi kids had Jacinda s job for a day, many would ban junk food marketing. Children are calling on the Prime Minister to ban junk food marketing because it makes them feel hungry and want the food, despite knowing that it is bad for them. Junk food should not be marketed because then children could get like diabetes and stuff like that, said one child. A range of 33 12-year-old children from the landmark Kids Cam Study were interviewed about their views on junk food marketing to children. Their advice is consistent with policy agreed to by the world s health ministers at a recent World Health Assembly.

SUMMARY

High level of capture of coronary intervention and associated acute coronary syndromes in the all New Zealand acute coronary syndrome quality improvement cardiac registry and excellent agreement with national administrative datasets (ANZACS-QI 25)

Andrew J Kerr, Mildred Lee, Yannan Jiang, Corina Grey, Sue Wells, Michael Williams, Rod Jackson, Katrina Poppe, on behalf of the ANZACS-QI investigators

The All New Zealand Acute Coronary Syndrome Quality Improvement (ANZACS-QI) registry was designed to collect data on all patients undergoing heart procedures coronary angiograms and per-cutaneous coronary interventions (PCI) in New Zealand, and all patients who had these procedures because they had a heart attack or episode of unstable angina (acute coronary syndromes). This study anonymously compares data recorded in the registry with that collected by the Ministry of Health (MOH) as a means of checking the accuracy of both datasets. Consistent with its aim, the ANZACS-QI registry captured almost all New Zealand public hospital coronary procedures in 2015, including those associated with heart attack and unstable angina admissions. The overall high level of agreement between the two datasets supports their use for future analyses, and specifically support the use of the MOH datasets for reporting of quality of care measures in heart attack and unstable angina patients not recorded in the ANZACS-QI registry.

SUMMARY

Pyogenic liver abscess: incidence, causality, management and clinical outcomes in a New Zealand cohort

Jan Kubovy, Shwan Karim, Steven Ding

We present a contemporary experience with liver abscess at our centre. In particular, we reviewed data regarding demographics, predisposing conditions, treatments, outcomes and probable causes.

SUMMARY

The contribution of avoidable mortality to the life expectancy gap in Māori and Pacific populations in New Zealand—a decomposition analysis

Michael Walsh, Corina Grey

Achieving health equity is a priority. Upholding te Tiriti o Waitangi should eliminate institutional racism against Mori and contribute to health equity. Given the Waitangi Tribunal is investigating health-related breaches of te Tiriti o Waitangi, we argue institutional racism needs to be acknowledged and addressed within the health sector. Historically the Crown response can be characterised by denial and inaction. The Crown has the power and resources to take action through mechanisms such as those they are currently applying to child poverty and gender pay inequity. Anti-racism literature recommends planned, systems-based approaches to eradicate the problem. We need the government to uphold our Tiriti responsibilities and we require a plan to end racism in the New Zealand health system.

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